Dental Board of California
Licensing details for: 103405
Name: NGUYEN, JOHN D A
License Type: Dentist
Primary Status: Current - Active
Method of Application: Licensure by WREB
License Relationships
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: NGUYEN, JOHN D A
License/Registration Type: General Anesthesia Permit
License Number: 2061 Primary Status: Current - Active
Address :
3445 Pacific Coast Hwy
205
TORRANCE CA 90505-6658
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: NGUYEN, JOHN D A
License/Registration Type: General Anesthesia Permit
License Number: 2063 Primary Status: Cancelled
Address :
6395 MIRABEAU DR
NEWARK CA 94560
ALAMEDA COUNTY
